Evidence map›Paper›PMID 40656602›Full record

ArticleTherapeutic advances in medical oncology2025

Efficacy of zanubrutinib versus acalabrutinib for relapsed or refractory chronic lymphocytic leukemia (R/R CLL): a matching-adjusted indirect comparison (MAIC).

Mazyar Shadman, Jennifer R Brown, Rhys Williams, Leyla Mohseninejad, Keri Yang, Pal Rakonczai, Nicole Lamanna, Sheng Xu, Aileen Cleary Cohen, Susan M O'Brien and 2 more

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Mazyar ShadmanFred Hutchinson Cancer Center and University of Washington, 825 Eastlake Ave. E. Seattle, Seattle, WA 98109-1023, USA.
Jennifer R BrownDivision of Medical Oncology, Chronic Lymphocytic Leukemia Center, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA.
Rhys WilliamsBeOne Medicines Ltd., San Mateo, CA, USA.
Leyla MohseninejadBeOne Medicines Ltd., Netherlands B.V., Schiphol, The Netherlands.
Keri YangBeOne Medicines Ltd., San Mateo, CA, USA.
Pal RakonczaiEvidera, Budapest, Hungary.
Nicole LamannaHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, USA.
Sheng XuBeOne Medicines Ltd., Shanghai, China.
Aileen Cleary CohenBeOne Medicines Ltd., San Mateo, CA, USA.
Susan M O'BrienDivision of Hematology/Oncology, University of California, Irvine, Irvine, CA, USA.
Alessandra TedeschiASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Constantine S TamAlfred Hospital and Monash University, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There are no head-to-head studies comparing the efficacy of the Bruton tyrosine kinase inhibitors, zanubrutinib and acalabrutinib, in relapsed or refractory chronic lymphocytic leukemia (R/R CLL). Objective: To compare the relative efficacy of zanubrutinib and acalabrutinib in R/R CLL using indirect treatment comparison. Design: An unanchored matching-adjusted indirect comparison (MAIC) was performed. Methods: Individual patient-level data from ALPINE (zanubrutinib) were reweighted using prognostic/effect-modifying variables to match aggregate data from ASCEND (acalabrutinib). MAIC outcomes included investigator-assessed progression-free survival (PFS-INV), overall survival (OS), and complete response (CR). Results: Post-matching, PFS-INV was improved significantly for zanubrutinib versus acalabrutinib (hazard ratio (HR) = 0.68 (95% confidence interval (CI): 0.46-0.99); Conclusion: Zanubrutinib was associated with a significant PFS-INV and CR advantage over acalabrutinib, with a trend toward improvement in OS.

Indexed as

Bruton tyrosine kinase inhibitor (BTKi)chronic lymphocytic leukemiacomparative efficacy

Identifiers

PMID40656602
PMCPMC12246662

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.